The PMHNP is caring for a patient with anxiety who develops

10 Jun The PMHNP is caring for a patient with anxiety who develops

Question
QUESTION 50

1. The PMHNP is caring for a patient with anxiety who develops mild to moderate hepatic impairment. Which action does the PMHNP take regarding the use of venlafaxine?

A.

Stop the venlafaxine

B.

Lower the dose of venlafaxine by 50%

C.

Lower the dose of venlafaxine by 25-40%

D.

Increase the dose of venlafaxine by 50%

1 points

QUESTION 51

1. A 25-year-old female patient is being prescribed milnacipran to treat fibromyalgia, and expresses concern regarding “how she will feel and look” from taking the medicine. Which statement correctly describes the side effects as a result of taking this medication?

A.

It can affect her menstruation.

B.

Suicidality can be common among young adults.

C.

Sedation may be problematic.

D.

Weight gain is unusual.

1 points

QUESTION 52

1. Mr. Ruby is a 33-year-old single father who is requesting pharmacological intervention to treat his fibromyalgia. The PMHNP sees in the medical chart that he has a recent diagnosis of arrhythmia and a BMI of 29. During his assessment, the PMHNP learns that Mr. Ruby works 40-50 hours a week as a contractor and “manages his stress” by smoking 3-4 cigarettes a day and having 8-10 drinks of alcohol each week. Why would duloxetine be contraindicated for Mr. Ruby?

A.

He has fibromyalgia.

B.

He has arrhythmia.

C.

He uses alcohol.

D.

He is overweight.

1 points

QUESTION 53

1. A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do?

A.

Prescribe long-acting benzodiazepine for 2 weeks, then increase the dose.

B.

Prescribe short-acting benzodiazepine for 2 weeks, then discontinue.

C.

Prescribe long-acting benzodiazepine for 2 weeks, then discontinue.

D.

Prescribe short-acting benzodiazepine for 2 weeks, then increase the dose.

1 points

QUESTION 54

1. A patient is prescribed 50 mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient?

A.

The patient has hepatic impairment.

B.

The patient has moderate renal impairment.

C.

The patient has severe renal impairment.

D.

The patient has cardiac impairment.

1 points

QUESTION 55

1. The PMHNP understands that which mechanism contributes to a worse tolerability profile for patients taking tricyclic antidepressants (TCAs)?

A.

Histamine H1 receptor blockade can cause insomnia.

B.

Muscarinic M1 receptor blockade causes blurred vision.

C.

Alpha 1 adrenergic receptor blockade causes weight gain.

D.

Muscarinic M3 receptor blockade causes sedation.

1 points

QUESTION 56

1. A patient who was prescribed an MAO inhibitor is learning about dietary modifications. Which statement made by the PMHNP demonstrates proper teaching of the food-drug interactions for MAO inhibitors?

A.

“You must avoid soy products, such as tofu.”

B.

“You should not consume processed meats.”

C.

“You may consume fermented foods, like sauerkraut.”

D.

“You may continue to drink beers on tap.”

1 points

QUESTION 57

1. A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper understanding of drug-drug interactions?

A.

“Decongestants are fine to continue taking with MAO inhibitors.”

B.

“Decongestants are okay to take with MAO inhibitors in moderation.”

C.

“Decongestants should be avoided due to risk of serotonin syndrome.”

D.

“Decongestants should be avoided due to risk of hypertensive crisis.”

1 points

QUESTION 58

1. Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil), and reports “I take my 45 mg pill, three times a day, just like I’m supposed to.” What does the PMHNP understand about this patient?

A.

Ms. Skidmore is taking the correct dose of phenelzine (Nardil).

B.

Ms. Skidmore is not taking enough of the phenelzine (Nardil); she should be taking three times that amount.

C.

Ms. Skidmore is taking too much of the phenelzine (Nardil); she should be taking the 45 mg in three doses.

D.

Ms. Skidmore is taking too much of the phenelzine (Nardil); she is supposed to take 45 mg every 24 hours.

1 points

QUESTION 59

1. The PMHNP is caring for several patients who present with various symptoms and health issues. For which patient does the PMHNP prescribe pregabalin (Lyrica)?

A.

Patient with PTSD

B.

Patient with partial seizures

C.

Patient with galactose intolerance

D.

Patient with Lapp lactase deficiency

1 points

QUESTION 60

1. Mr. Gutier is 72 years old with anxiety and depressive symptoms. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP understand regarding this prescription?

A.

The PMHNP will prescribe less than 2-6 mg for Mr. Gutier to take daily.

B.

The PMHNP will require Mr. Gutier to take 2-4 doses of lorazepam (Ativan) per day.

C.

The PMHNP will prescribe more than 2-6 mg for Mr. Gutier to take daily.

D.

The PMHNP will have Mr. Gutier take 6 mg of lorazepam (Ativan) as a PRN.

1 points